| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.00 | $64.00 | $64.00 | |
Hally Health
| Professional | $150.00 | $150.28 | $150.28 | |
Medica
| Facility | $98.56 | $156.63 | $257.73 | |
Midlands
| Facility | $132.54 | $156.63 | $232.71 |